ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A 2-year-old child diagnosed with neuroblastoma.
Question 1 of 5
A 2-year-old child is diagnosed with neuroblastoma. The nurse understands that which of the following tests help to determine the extent of tumor metastasis?
Correct Answer: C
Rationale: A head CT scan is a valuable imaging test that can help determine the extent of tumor metastasis, particularly to the brain or skull.
Extract:
A 6-year-old child with Sickle Cell Anemia admitted for vaso-occlusive crisis, complaining of pain in the abdomen, right tibia, and headache, pain level 10 on FACES Pain Scale, with tender abdomen, warm and tender right tibia, and history of multiple crises.
Question 2 of 5
The nurse is planning the nursing care for this child and anticipates which of the following to be a part of the plan of care for a child in vaso-occlusive crisis? For each potential intervention, click to specify if the intervention is anticipated or contraindicated.
Correct Answer: A,B,C
Rationale: Monitor RLE pulses, administer oxycodone for pain, and continue IV fluids are anticipated to assess perfusion, manage pain, and maintain hydration. Decreasing oxygen is contraindicated as adequate oxygenation is crucial to prevent further sickling.
Extract:
Antibiotic infusion via syringe pump, total volume 18 mL, to run over 90 minutes.
Question 3 of 5
The nurse must administer the following antibiotic via syringe pump. The infusion is to run over 90 minutes. The nurse calculates the infusion rate and sets the pump for the following rate
Correct Answer: 12 mL/hr
Rationale:
Total volume is 18 mL over 90 minutes (1.5 hours). Rate = 18 mL / 1.5 hours = 12 mL/hour.
Extract:
A preschool aged child immediately following an open repair of a Ventricular Septal Defect, with no drainage from the mediastinal chest tubes in the last 2 hours.
Question 4 of 5
The nurse is caring for a preschool aged child immediately following an open repair of a Ventricular Septal Defect. There has been no drainage from the mediastinal chest tubes in the last 2 hours. Based on this finding what will be the nurse's priority intervention?
Correct Answer: C
Rationale: Lack of drainage from the chest tubes following cardiac surgery can be life-threatening, indicating possible cardiac tamponade or tube occlusion. Immediate reporting is necessary for prompt intervention.
Extract:
A school aged child with ADHD recently switched from methylphenidate to atomoxetine.
Question 5 of 5
A school aged child with ADHD was recently switched from a methylphenidate to atomoxetine. The nurse recognizes a need for further teaching when the parents make which of the following statements?
Correct Answer: B
Rationale: Atomoxetine is a non-stimulant medication for ADHD that must be taken consistently every day, not just on school days. This statement indicates a misunderstanding and a need for further teaching.